LONG ISLAND PROFESSIONAL MEDICAL SERVICES PC
NPI 1295788966
Internal Medicine in Garden City, NY

Q: What is Long Island Professional Medical Services PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 17, 2006CLIA 33D1039533 · Waiver

901 STEWART AVE, STE 275, GARDEN CITY, NY 11530(516) 877-1518(516) 877-1561 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2024, Aug 22, 2020 (2 updates tracked since 2020).

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About Long Island Professional Medical Services Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG ISLAND PROFESSIONAL MEDICAL SERVICES PC (NPI 1295788966) is a healthcare organization registered as an internal medicine in Garden City, New York and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 17, 2027 and lists Philip Fortunato Spadafora, Physician President, as its authorized official.

NPPES Registry Identity

NPI1295788966

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLONG ISLAND PROFESSIONAL MEDICAL SERVICES PC

Location Address901 STEWART AVE, STE 275Garden City, NY 11530

Mailing Address901 Stewart Ave, Ste 275Garden City, NY 11530 · (516) 877-1518 · Fax (516) 877-1561

Phone(516) 877-1518

Fax(516) 877-1561

Organization SubpartNo

Authorized OfficialPhilip Fortunato SpadaforaPhysician President · (516) 877-1518

Enumeration DateMay 17, 2006

Last NPPES UpdateMay 15, 20242 updates tracked since enumeration

NPPES CertifiedMay 15, 2024

✔ NPI 1295788966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 1878871

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

901 STEWART AVE, Garden City, NY 11530

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Island Professional Medical Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Long Island Professional Medical Services PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Philip Spadafora, DO

Internal Medicine

NPI 1255386959

901 STEWART AVE STE 275
Garden City, NY 11530

(516) 877-1518

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1039533

Long Island Professional Medical Services PC · Garden City, NY

Active · expires Apr 17, 2027

CLIA Number33D1039533

Laboratory TypePhysician Office

Certificate Effective DateApril 18, 2025

Certificate Expiration DateApril 17, 2027

Laboratory DirectorPhilip F. Spadafora Do

Laboratory Phone(516) 877-1518

Laboratory LocationLong Island Professional Medical Services PC901 Stewart Avenue, Suite 275, Garden City, NY 11530

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Long Island Professional Medical Services PC's NPI number?

The NPI number for Long Island Professional Medical Services PC is 1295788966. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Long Island Professional Medical Services PC located?

Long Island Professional Medical Services PC is located at 901 Stewart Ave Ste 275, Garden City, NY 11530. The listed phone number is (516) 877-1518.

What is Long Island Professional Medical Services PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Long Island Professional Medical Services PC enrolled in Medicare?

Yes. Long Island Professional Medical Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Island Professional Medical Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Long Island Professional Medical Services PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Long Island Professional Medical Services PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1039533) is associated with this NPI, valid through April 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Long Island Professional Medical Services PC was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.